Part D: Declarations...EU ECOLABEL USER MANUAL FURNITURE Commission Decision for the award of the EU...

51
EU ECOLABEL USER MANUAL FURNITURE Commission Decision for the award of the EU Ecolabel for furniture (2016/1332/EU) Version 2.0 Page 1 of 51 Part D: Declarations Summary of declarations: Click to view Declaration: 1. Product Description Declaration: 2.1 Restriction of SVHCs Declaration: 2.2(a) CLP restriction of Substances and mixtures used by the furniture manufacturer Declaration compilation: 2.2(b) CLP restriction of substances and mixtures used by suppliers of defined component parts/materials Declaration: 3.1 Wood and wood-based materials - Sustainable wood Declaration: 3.2 a) Contaminants in recycled wood Declaration: 3.2 b) Heavy metals in paints, primers and varnishes Declaration: 3.2 c) VOC content in paints, primers and varnishes Calculation sheet 3.2 (c) VOC content in paints, primers and varnishes Declaration: 3.3 Formaldehyde emissions Declaration: 4.1 Marking of plastic components Declaration: 4.2 Heavy metals in plastic additives Declaration: 4.3 Recycled plastic content Declaration: 5.1 Electroplating restrictions Declaration: 5.2 Heavy metals in paints, primers and varnishes Declaration: 5.3 VOC content in paints, primers and varnishes Calculation sheet 5.3 (c) VOC content in paints, primers and varnishes Declaration compilation: 6.1 Upholstery covering materials: Physical quality requirements Declaration: 6.1 Leather - Physical quality requirements Declaration: 6.1 Textile fabrics - Physical quality requirements Declaration: 6.1 Coated fabrics - Physical quality requirements Declaration compilation: 6.2 Upholstery covering materials: Chemical testing requirements Declaration: 6.2 Leather - Chemical testing requirements Declaration: 6.2 Textile fabric or coated fabric - Chemical testing requirements Declaration compilation: 6.3 Upholstery covering materials: Restrictions during production processes Declaration: 6.3 Upholstery covering materials: Restrictions during production processes Declaration: 6.4 Cotton and other natural cellulosic seed fibres Declaration: 7.1 a) Latex foam: Restricted substances Declaration: 7.1.b) Latex foam: 24h VOC emissions Declaration: 7.2 a) Polyurethane (PUR) foam: Restricted substances and mixtures Declaration: 7.2 b) Polyurethane foam: 72h VOC emissions Declaration: 7.3 Other padding materials Declaration: Criterion 8 – Glass – use of heavy metals Declaration: 9.1 Final product requirements: Fitness for use Declaration: 9.2 Extended product guarantee Declaration: 9.3 Provision of spare parts Declaration: 9.4 Design for disassembly Declaration: 9.5 VOC emissions Declaration: Criterion 10 – Consumer Information Declaration: Criterion 11 – Information appearing on the EU Ecolabel

Transcript of Part D: Declarations...EU ECOLABEL USER MANUAL FURNITURE Commission Decision for the award of the EU...

Page 1: Part D: Declarations...EU ECOLABEL USER MANUAL FURNITURE Commission Decision for the award of the EU Ecolabel for furniture (2016/1332/EU) Version 2.0 Page 1 of 51 Part D: Declarations

EU ECOLABEL USER MANUAL

FURNITURE Commission Decision for the award of the EU Ecolabel for furniture (2016/1332/EU)

Version 2.0 Page 1 of 51

Part D: Declarations

Summary of declarations:

Click to view

Declaration: 1. Product Description

Declaration: 2.1 Restriction of SVHCs

Declaration: 2.2(a) CLP restriction of Substances and mixtures used by the furniture manufacturer

Declaration compilation: 2.2(b) CLP restriction of substances and mixtures used by suppliers of defined component

parts/materials

Declaration: 3.1 Wood and wood-based materials - Sustainable wood

Declaration: 3.2 a) Contaminants in recycled wood

Declaration: 3.2 b) Heavy metals in paints, primers and varnishes

Declaration: 3.2 c) VOC content in paints, primers and varnishes

Calculation sheet 3.2 (c) VOC content in paints, primers and varnishes

Declaration: 3.3 Formaldehyde emissions

Declaration: 4.1 Marking of plastic components

Declaration: 4.2 Heavy metals in plastic additives

Declaration: 4.3 Recycled plastic content

Declaration: 5.1 Electroplating restrictions

Declaration: 5.2 Heavy metals in paints, primers and varnishes

Declaration: 5.3 VOC content in paints, primers and varnishes

Calculation sheet 5.3 (c) VOC content in paints, primers and varnishes

Declaration compilation: 6.1 Upholstery covering materials: Physical quality requirements

Declaration: 6.1 Leather - Physical quality requirements

Declaration: 6.1 Textile fabrics - Physical quality requirements

Declaration: 6.1 Coated fabrics - Physical quality requirements

Declaration compilation: 6.2 Upholstery covering materials: Chemical testing requirements

Declaration: 6.2 Leather - Chemical testing requirements

Declaration: 6.2 Textile fabric or coated fabric - Chemical testing requirements

Declaration compilation: 6.3 Upholstery covering materials: Restrictions during production processes

Declaration: 6.3 Upholstery covering materials: Restrictions during production processes

Declaration: 6.4 Cotton and other natural cellulosic seed fibres

Declaration: 7.1 a) Latex foam: Restricted substances

Declaration: 7.1.b) Latex foam: 24h VOC emissions

Declaration: 7.2 a) Polyurethane (PUR) foam: Restricted substances and mixtures

Declaration: 7.2 b) Polyurethane foam: 72h VOC emissions

Declaration: 7.3 Other padding materials

Declaration: Criterion 8 – Glass – use of heavy metals

Declaration: 9.1 Final product requirements: Fitness for use

Declaration: 9.2 Extended product guarantee

Declaration: 9.3 Provision of spare parts

Declaration: 9.4 Design for disassembly

Declaration: 9.5 VOC emissions

Declaration: Criterion 10 – Consumer Information

Declaration: Criterion 11 – Information appearing on the EU Ecolabel

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Declaration: 1. Product Description

to be completed by the applicant

Please provide technical drawings that illustrate the different components and sub-

components used in the assembly of the product;

Please provide bills of material for the product (excluding packaging) using the table below.

Bill of materials:

Material Weight (kg) % of total product weight

Solid wood/wood-based panels

Cork

Bamboo

Rattan

Plastics

Metals

Leather

Textiles

Coated fabrics

Glass

Padding/filling materials

Other (please specify)

Total 100%

Signature of person bearing legal

responsibility

Position held

Date:

Company stamp:

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Declaration compilation: 2.1 Restriction of SVHCs

to be completed by the applicant

Please fill out the details below and indicate where written declarations have been provided

for supplied component parts/materials and the final furniture product itself.

Complete additional sheets if necessary.

Declarations of non-presence of SVHCs above 0.1% (weight by weight)

Description of supplied

component part/material Supplier company (contact

details optional)

Declaration of non-

presence provided?

Final furniture product (name) Insert applicant details in this box

Signature of person bearing legal

responsibility

Position held

Date:

Company stamp:

An example declaration for each individual supplier to provide is given below.

Declaration: 2.1 Restriction of SVHCs

to be completed by the supplier/applicant

As the manufacturer/supplier of ___________________________________, I, the undersigned, hereby declare that the supplied component part/material does not contain any SVHC listed in the latest version of the ECHA Candidate List at the date of this declaration in concentrations > 0.1% (w/w)..

Signature of person bearing legal

responsibility

Position held

Date:

Company stamp:

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Declaration: 2.2(a) CLP restriction of Substances and mixtures used by the furniture manufacturer

to be completed by the applicant

Please fill out the details below and include any hazard classification information of all substances and mixtures used directly by the furniture

manufacturer in any treatment or processing of the component parts/materials used in the furniture product (add sheets if necessary).

Name of

substance /

mixture used

CAS No

(if

available)

What hazard

classification does

the substance /

mixture have (if

any)

If classified, is

this harmonised

or by self

declaration?

If classified by self

declaration, indicate with

an X what supporting

evidence is provided.

Indicate by which means the

substance / mixture meets the

requirement.

Toxico

logica

l stu

dies

Safety D

ata

Sheet (S

DS)

Docu

men

ted

expert judgem

ent

Attesta

tion b

y an

accred

ited b

ody

No restricted

cla

ssificatio

n

Applied

in

quantities w

here

unrea

cted

residue o

r active

substa

nces is

<0

.1%

Com

pliance w

ith

dero

gatio

n

conditio

ns

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Declaration compilation: 2.2(b) CLP restriction of substances and

mixtures used by suppliers of defined component parts/materials

Compilation of declarations to be completed by the applicant

Please fill out the details below and indicate where written declarations have been provided

for supplied component parts/materials and the final furniture product itself.

Complete additional sheets if necessary.

Declarations of the non-presence of CLP restricted substances and mixtures defined in

criterion 2.2(b) above 0.1% (weight by weight – unless derogated.)

Description of supplied

component part/material

Supplier company (contact

details optional)

Declaration of non-presence

provided? (Y/N)

Signature of person bearing legal

responsibility

Position held

Date:

Company stamp:

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Declaration: 2.2(b) CLP restriction of substances and mixtures used

by suppliers of defined component parts/materials

to be completed by the supplier of any solid wood or wood -based panel components

As the manufacturer/supplier of ___________________________________, I, the undersigned, hereby declare that any adhesives, varnishes, paints, wood stains, biocidal products, primers, flame retardants, fillers, waxes, oils, joint fillers, sealants or resins used in the supplied component part either:

do not possess any of the CLP hazards listed in Table 1 of Criterion 2 or

do possess at least one of the CLP hazards listed in Table 1 of Criterion 2 but do not remain inthe supplied component part at concentrations >0.1% (w/w) or

do possess at least one of the CLP hazards listed in Table 1 of Criterion 2 but are derogated inTable 2 of Criterion 2.2 and derogation conditions are respected

Signature of person bearing legal

responsibility

Position held

Date:

Company stamp:

Declaration: 2.2(b) CLP restriction of substances and mixtures used

by suppliers of defined component parts/materials

to be completed by the supplier of any plastic components

As the manufacturer/supplier of ___________________________________, I, the undersigned, hereby declare that any pigments, plasticisers, biocidal products or flame retardants used as additives in the supplied plastic component part either:

do not possess any of the CLP hazards listed in Table 1 of Criterion 2 or

do possess at least one of the CLP hazards listed in Table 1 of Criterion 2 but do not remain inthe supplied component part at concentrations >0.1% (w/w) or

do possess at least one of the CLP hazards listed in Table 1 of Criterion 2 but are derogated inTable 2 of Criterion 2.2 and derogation conditions are respected

Signature of person bearing legal

responsibility

Position held

Date:

Company stamp:

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Declaration: 2.2(b) CLP restriction of substances and mixtures used

by suppliers of defined component parts/materials

to be completed by the supplier of any metal components

As the manufacturer/supplier of ___________________________________, I, the undersigned, hereby declare that any paints, primers or varnishes applied to the metal surface of the supplied metal component part/material either:

do not possess any of the CLP hazards listed in Table 1 of Criterion 2 or

do possess at least one of the CLP hazards listed in Table 1 of Criterion 2 but do not remain inthe supplied component part at concentrations >0.1% (w/w) or

do possess at least one of the CLP hazards listed in Table 1 of Criterion 2 but are derogated inTable 2 of Criterion 2.2 and derogation conditions are respected

Signature of person bearing legal

responsibility

Position held

Date:

Company stamp:

Declaration: 2.2(b) CLP restriction of substances and mixtures used

by suppliers of defined component parts/materials

to be completed by the supplier of any texti le, leather or coated fabric materials

As the manufacturer/supplier of ___________________________________, I, the undersigned, hereby declare that any dyestuff, varnishes, optical brighteners, stabilisers, auxiliary compounds, flame retardants, plasticisers biocidal products or water/dirt/stain repellents used as additives in the supplied textile, leather or coated fabric material either:

do not possess any of the CLP hazards listed in Table 1 of Criterion 2 or

do possess at least one of the CLP hazards listed in Table 1 of Criterion 2 but do not remain inthe supplied component material at concentrations >0.1% (w/w) or

do possess at least one of the CLP hazards listed in Table 1 of Criterion 2 but are derogated inTable 2 of Criterion 2.2 and derogation conditions are respected

Signature of person bearing legal

responsibility

Position held

Date:

Company stamp:

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Declaration: 2.2(b) CLP restriction of substances and mixtures used

by suppliers of defined component parts/materials

to be completed by the supplier of any upholstery padding materials

As the manufacturer/supplier of ___________________________________, I, the undersigned, hereby declare that any dyestuff, varnishes, optical brighteners, stabilisers, auxiliary compounds, flame retardants, plasticisers biocidal products or water/dirt/stain repellents used as additives in the supplied upholstery padding material either:

do not possess any of the CLP hazards listed in Table 1 of Criterion 2 or

do possess at least one of the CLP hazards listed in Table 1 of Criterion 2 but do not remain inthe supplied component material at concentrations >0.1% (w/w) or

do possess at least one of the CLP hazards listed in Table 1 of Criterion 2 but are derogated inTable 2 of Criterion 2.2 and derogation conditions are respected

Signature of person bearing legal

responsibility

Position held

Date:

Company stamp:

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Declaration: 3.1 Wood and wood-based materials - Sustainable

wood

to be completed by the A pplicant but ONLY where the total amount of wood and/or wood based component s exceeds 5% w/w of the final furniture product (excluding packaging)

Please fill in the table below indicating the source of each wood or wood based component

and details of the relevant certification scheme – complete additional sheets if necessary.

Suitable certification systems that meet this requirement include FSC and PEFC. Other schemes will be permitted where they can be shown to be equivalent to the requirements of these schemes.

Requirement Detail

Description of wood or wood based component in the furniture product.

Weight (kg)

Weight (as % of total product weight, excluding packaging)

% from certified source (please provide details of the forest management certification scheme and number)

% recycled fibres (please provide supporting information e.g. supplier invoices etc.)

% of wood from uncertified sources (please provide details of the verification scheme that ensures it comes from legal sources)

Chain of custody (CoC) certification: name and certificate number of supplier

Please provide copies of all CoC certificates of your suppliers and your own CoC certificate

as well as details of your own CoC account, which shows the amount of certified wood and

wood based materials purchased and sold.

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Declaration: 3.2 a) Contaminants in recycled wood

to be completed by the Wood based panel manufacturer

I, the undersigned, the supplier/manufacturer of wood based panels to ____________________ (please insert the name of the applicant) declare that:

(please delete option 1 or 2, as appropriate)

1. The wood based panel does/does not contain recycled fibres.2. Any recycled wood fibres that may be present in the supplied wood-based panels have

been tested in accordance with the 2002 "EPF Standard conditions for the delivery ofrecycled wood", complying with the limits set out below.

Contaminant Amount (mg/kg

recycled wood) Contaminant

Amount (mg/kg

recycled wood)

Arsenic (As) 25 Mercury (Hg) 25

Cadmium (Cd) 50 Fluorine (F) 100

Chromium (Cr) 25 Chlorine (Cl) 1000

Copper (Cu) 40 Pentachlorophenol

(PCP) 5

Lead (Pb) 90 Creosote

(Benzo(a)pyrene) 0.5

I attach supporting test reports together with this declaration.

Signature of person bearing legal

responsibility

Position held

Company Name in CAPITALS:

Date:

Company Stamp:

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Declaration: 3.2 b) Heavy metals in paints, primers and varnishes

to be completed by the Applicant or material supplier, as appropriate

Supplier Declaration

I the undersigned, hereby declare that Paints, Primers or Varnishes used on the ___________________ (name of solid wood or wood-based panel products supplied) supplied to

______________________(applicant details) do not contain additives based on cadmium, lead,

chromium VI, mercury, arsenic or selenium, at concentrations exceeding 0.010% w/w for each individual metal in the in-can paint, primer or varnish formulation.

Applicant Declaration

I the undersigned, hereby declare that any Paints, Primers or Varnishes used on wood or wood-based materials in __________________ (name of furniture product(s)) do not contain additives based on cadmium, lead, chromium VI, mercury, arsenic or selenium, at concentrations exceeding 0.010% w/w for each individual metal in the in-can paint, primer or varnish formulation.

Please attach the safety data sheets (SDS) in respect of each paint, primer or varnish used.

Signature of person bearing legal

responsibility

Position held

Company Name in CAPITALS:

Date:

Company Stamp:

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Declaration: 3.2 c) VOC content in paints, primers and varnishes

to be completed by the Applicant but ONLY where coated wood and/or wood based materials exceeds 5% w/w of the final furnitur e product (excl . packaging) AND if compliance with cr iterion 9.5 is NOT demonstrated.

I, the undersigned, confirm that the proportion of the furniture product that consists of coated wood-based panels is _______________________% w/w.

Please only proceed if the combined content of solid wood and any wood-based panels exceeds

5% of the product weight (excluding packaging)

I, the undersigned, confirm that the paints, primers and varnishes used met the requirements of criterion 3.2(c) by the following manner(s) : (please insert more rows and/or merge cells as appropriate)

Component /

material

supplied

Coating

formulation used

Means of compliance with VOC restrictions

VOC content

<5% SDS +

supplier

declaration

Less than

30g/m2

applied

SDS +

calculation*

30-60g/m2

applied SDS

+ calculation +

proof of

technical

quality**

*please fill out calculation sheet on the next page

**please fill out calculation sheet on the next page and provide proof of compliance with minimum quality requirements for EN 12720, 12721, 12722 and 15186.

Signature of person bearing legal responsibility

Position held

Company Name in CAPITALS:

Date:

Company Stamp:

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Calculation sheet: 3.2 c) VOC content in paints and varnishes

to be completed by the Applicant or coated panel supplier, as appro priate

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Calculation sheet: 3.2 c) VOC content in paints and varnishes

to be completed by the Applicant or coated panel supplier, as appro priate

I, the undersigned, confirm that the following ____________ (enter coated product name) solid

wood panel / wood-based panel (delete as appropriate) complies with the limit of total VOC applied

(in g/m2 coated surface area) according to the calculations below.

Please note that the data is averaged and may vary slightly from one individual unit or product batch to another.

If more than one coating substance is used, please repeat the calculation and add up the

total VOC contents

Requirement Value Unit

A: Total coated surface area per unit product m2

B: The VOC content of the coating compound g/L

C: The volume of coating compound present before the coating operation*

L

D: The volume of coating compound remaining after the coating operation*

L

E: The number of identical units processed during the coating operation

F: Total area coated (=AxE) m2

G: Total volume of coating compound used (=C-D) L

H: Total VOC applied to surface (=BxG) g

Total VOC applied per m2 (=H/F) g/m2

* note that weight measurements can be used instead of volume so long as the density of the coating compound is known and

accounted for in the calculation

Signature of person bearing legal

responsibility

Position held

Company Name in CAPITALS:

Date:

Company Stamp:

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Declaration: 3.3 Formaldehyde emissions: Supplier

to be completed by the wood-based panel supplier

I the undersigned, hereby declare that the ______________(insert product name and wood-based

panel generic type, i.e. particleboard, plywood, medium density fibreboard etc.) meet the

formaldehyde emission requirements of criterion 3.3 and provide test reports to support this declaration using one or more of the following standard approaches:

50% of E1:

Test value according to EN 717-1 = ___________ (must be ≤ 0.062 mg/m3)

Test value according to EN 717-2 = ___________ (must be ≤ 1.75 mg/m2h)*

*(can be ≤ 2.5 mg/m2h for plywood, solid wood panels or laminated veneer lumber if measured within 3 days of chamber test)

Test value according to EN 120 = ___________ (must be ≤ 4 mg/100g oven dry board)

CARB Phase II:

Test value according to ASTM E1333 = ____________ (must be ≤ 0.05 ppm for plywood, ≤ 0.09 ppm for particleboard, ≤ 0.11 ppm for medium density fibreboard or ≤ 0.13 ppm for thin medium density fibreboard).

Test value according to ASTM D6007* = ____________*

Test value according to ASTM D5582* = ____________*

*results according to secondary ASTM methods (i.e. any method that is not ASTM E1333) should beaccompanied by a declaration from the testing laboratory stating that the method used can be considered to produce results equivalent to ASTM E1333.

Japanese F star (3 or 4 star):

Test value according to JIS A 1460 = ________ (must be ≤ 0.5 mg/L for 3 star or ≤ 0.3 mg/L for 4 star)

Signature of person bearing legal

responsibility

Position held

Company Name in CAPITALS:

Date:

Company Stamp:

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Declaration: 3.3 Formaldehyde emissions: Applicant

to be completed by the Applicant

I the undersigned, hereby declare that no further formaldehyde-based surface treatment was applied to supplied panels and that the panels were not modified in any other way that would compromise compliance with the formaldehyde emission limits already declared by the wood/wood based panel supplier.

Signature of person bearing legal

responsibility

Position held

Company Name in CAPITALS:

Date:

Company Stamp:

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Declaration: 4.1 Marking of plastic components

to be completed by the Applicant

I the undersigned, hereby declare that the following information provided about the plastic parts is accurate and that none of these parts are based on PVC.

Please complete the following table and provide the corresponding safety data sheet or a

statement from the plastic supplier that details the polymer type and any additives used

that account for more than 1% of the plastic weight. Add additional sheets if necessary.

Plastic component part (weight in grams)

Marking applied as per EN ISO 11469 and EN ISO 1043 (parts 1-4)

Justification for not marking. Please provide evidence that further details of the polymer type and any additives (as per the requiremenmts of EN ISO 11469 and EN ISO 1043 (parts 1-4) are included in the information provided to customers.

Signature of person bearing legal responsibility

Position held

Company Name in CAPITALS:

Date:

Company Stamp:

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Declaration: 4.2 Heavy metals in plastic additives

to be completed by the Applicant

I the undersigned, hereby declare the following plastic components in the ________________ (insert

name of furniture product) comply with the requirements under criterion 4.2 and indicate which

evidence is enclosed to demonstrate compliance. Add additional sheets if necessary.

Plastic component /

raw material Supplier

Evidence submitted

Declaration from supplier Test Report

Signature of person bearing legal

responsibility

Position held

Company Name in CAPITALS:

Date:

Company Stamp:

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Declaration: 4.2 Heavy metals in plastic additives

to be completed by each Supplier of any plastic parts . NOTE: In the absence of a declaration, the Applicant will be required to test the supplied parts.

I the undersigned, the supplier of __________________________(please insert name of plastic

component(s)) to ________________________________ (please insert the name of the applicant)

hereby declare that none of the parts are based on PVC and that either:

a) None of the plastic components have been manufactured using compounds containing cadmium (Cd),chromium VI (CrVI), lead (Pb), mercury (Hg) or tin (Sn).

Or

b) The attached accredited laboratory test reports show that the above named plastic component(s)comply with the following limits:

Metal Method Limit (mg/kg)

Virgin Recycled.

Cd XRF* or digestion followed by ICP** or AA***

or other adequate method for measuring

total metal content.

100 1000

Pb 100 1000

Sn 100 1000

Hg 100 1000

CrVI**** EN 71-3 0.020 0.20

* XRF = X-Ray Fluorescence, testing can be destructive or non-destructive.

** ICP = Inductively coupled plasma spectroscopy.

***AA = Atomic absorption spectroscopy (especially suitable method for mercury measurement using cold vapour process)

**** refers to extractable CrVI only.

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Date:

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Declaration: 4.3 Recycled plastic content: Applicant

to be completed by the Applicant

O n l y r e l e v a n t w h e r e > 2 0 % w e i g h t / w o f t h e f u r n i t u r e p r o d u c t i s d u e t o p l a s t i c p a r t s

I the undersigned, hereby declare that the average recycled content of all of the plastic parts present in the furniture product is _____________________% w/w calculated as per the table below:

Description of Plastic

Part(s) Name of Supplier

Weight in

furniture

product

%

Recycled

content

Weight of

Recycled

content

Total Total

Overall average % recycled content

Please provide declarations and supporting documentation from each plastic parts

supplier (see next declaration).

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Date:

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Declaration: 4.3 Recycled plastic content: Supplier

to be completed by each Plastic component/raw material supplier

I the undersigned, the supplier of ________________________(please insert the name of the

plastic part(s)/raw materials) to _________________ (please insert the name of the

applicant) hereby declare that the average recycled content of the plastic part/raw material

supplied is _____________________% w/w

Note that in cases where raw materials are supplied to the applicant, who then converts

them into plastic parts, information should be provided in batch delivery information for

the raw materials, for example as per the framework set out in Table 1 of EN 15343.

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Declaration: 5.1 Electroplating restrictions: Applicant

to be completed by the Applicant

I the undersigned, hereby declare the following metal components in the ________________ (insert

name of furniture product) comply with the requirements under criterion 5.1 and indicate which

evidence is enclosed to demonstrate compliance. Complete additional sheets if necessary. .

Metal component Supplier

Evidence submitted

Declaration from

supplier plus test

report*

Test Report**

Signature of person bearing legal

responsibility

Position held

Company Name in CAPITALS:

Date:

Company Stamp:

*test report is only for nickel release and only when nickel electroplating is used

**only applicable in the absence of a suitable declaration

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Declaration: 5.1 Electroplating restrictions: Supplier

to be completed by each metal component S upplier

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Declaration: 5.1 Electroplating restrictions: Supplier

to be completed by each metal component S upplier

As the supplier of the following metal components: _________________________ (please insert

name of component part) to ________________________ (please insert the name of the

applicant) I the undersigned, hereby declare that:

- the component has been electroplated (Y/N) ____ (if N, enter N/A for other statements)

- compounds based on the following metals have been used for electroplating____________________

- no compounds based on chromium VI or cadmium have been used (Y/N) ____

Only where nickel is one of the metals used in electroplating:

- that nickel release rates are less than 0.5 µg/cm2/week (Y/N) _____ (please attach supporting test

reports)

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Declaration: 5.2 Heavy metals in paints, primers and varnishes

to be completed by the Applicant or material supplier, as appropriate

Supplier Declaration

I the undersigned, hereby declare that Paints, Primers or Varnishes used on the ___________________ (name of metal component parts supplied) supplied to ______________________(applicant

details) do not contain additives based on cadmium, lead, chromium VI, mercury, arsenic or selenium,

at concentrations exceeding 0.010% w/w for each individual metal in the in-can paint, primer or varnish formulation.

Applicant Declaration

I the undersigned, hereby declare that any Paints, Primers or Varnishes used on metal components in __________________ (name of furniture product(s)) do not contain additives based on cadmium, lead, chromium VI, mercury, arsenic or selenium, at concentrations exceeding 0.010% w/w for each individual metal in the in-can paint, primer or varnish formulation.

Please attach the safety data sheets (SDS) in respect of each paint, primer or varnish used.

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Company Name in CAPITALS:

Date:

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Declaration: 5.3 VOC content in paints, primers and varnishes

to be completed by the Applicant but ONLY where coated metal component parts exceed 5% w/w of the final furniture product (excl . packaging) AND if compliance with criterion 9.5 is NOT demonstrated.

I, the undersigned, confirm that the proportion of the furniture product that consists of coated metal component parts is _______________________% w/w.

Please only proceed if the combined content of metal component parts exceed 5% of the product

weight (excluding packaging)

I, the undersigned, confirm that the paints, primers and varnishes used met the requirements of criterion 5.3 by the following manner(s): (Complete additional sheets if necessary. )

Component /

material

supplied

Coating

formulation used

Means of compliance with VOC restrictions

VOC content

<5% SDS +

supplier

declaration

Less than

30g/m2

applied

SDS +

calculation*

30-60g/m2

applied SDS

+ calculation +

proof of

technical

quality**

*please fill out calculation sheet on the next page

**please fill out calculation sheet on the next page and provide proof of compliance with minimum quality requirements

for EN 12720, 12721, 12722 and 15186.

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Calculation sheet: 5.3 VOC content in paints, primers and varnishes

to be completed by the Applicant or coated panel supplier, as appropriate

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Calculation sheet: 5.3 VOC content in paints, primers and varnishes

to be completed by the Applicant or coated panel supplier, as appropriate

I, the undersigned, confirm that the following ____________ (enter coated product name) solid

wood panel / wood-based panel (delete as appropriate) complies with the limit of total VOC applied

(in g/m2 coated surface area) according to the calculations below.

Please note that the data is averaged and may vary slightly from one individual unit or product batch to another.

If more than one coating substance is used, please repeat the calculation and add up the

total VOC contents

Requirement Value Unit

1: Total coated surface area per unit product m2

2: The VOC content of the coating compound g/L

3: The volume of coating compound present before the coating operation*

L

4: The volume of coating compound remaining after the coating operation*

L

5: The number of identical units processed during the coating operation

6: Total area coated (=1x5) m2

7: Total volume of coating compound used (=3-4) L

8: Total VOC applied to surface (=2x7) g

Total VOC applied per m2 (=8/6) g/m2

* note that weight measurements can be used instead of volume so long as the density of the coating compound is known and

accounted for in the calculation

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Date:

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Declaration compilation: 6.1 Upholstery covering materials:

Physical quality requirements

to be completed by the Applicant

I the undersigned, hereby declare the following upholstery covering materials in the ________________ (insert name of furniture product) comply with the requirements under criterion 6.1 and indicate which evidence is enclosed to demonstrate compliance. Complete additional sheets if necessary.

Upholstery covering

material type / trade

name

Supplier

Evidence submitted

Declaration from

supplier plus test

report*

Test

Report**

EU

Ecolabel

award

Signature of person bearing legal

responsibility

Position held

Company Name in CAPITALS:

Date:

Company Stamp:

* test reports according to material specific requirements of criterion 6.1.

**from tests commissioned by applicant - only necessary when material supplier fails to provide suitable

evidence.

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Declaration: 6.1 Leather - Physical quality requirements

to be completed by supplier of LEATHER upholstery covering materials

I the undersigned, hereby declare that the leather upholstery covering material supplied to _____________________ (please insert the name of the applicant) meets the physical requirements as specified below and I attach copies of relevant test reports.

- Type of leather: _______________________ (choose from; nubuck, suede, aniline, semi-analine, coated leather,

pigmented leather or "other").

- pH and ∆pH: _______________________ (according to EN ISO 4045. Results must be ≥ 3.5 and if pH is <4.0,

∆pH shall be ≤ 0.7 for all leather types)

- Average tear load:_________________ (according to EN ISO 3377-1. Results must be > 20 N for all leather types)

- Colour fastness (dry felt):_________________ (according to EN ISO 11640: Results must be either: 50 cycles

≥3 grey scale for nubuck, suede and aniline leather or 500 cycles ≥4 grey scale for all other leather types).

- Colour fastnes (wet felt):_________________ (according to EN ISO 11640: Results must be either: 20 cycles

≥3 grey scale for nubuck, suede and aniline leather; 80 cycles ≥3/4 grey scale for semi-aniline leather or 250

cycles ≥3/4 grey scale for all other leather types).

- Colour fastness (felt wetted with artifical perspiration): ____________ (according to EN ISO 11640 and

11641: Results must be either: 20 cycles ≥3 grey scale for nubuck, suede and aniline leather; 50 cycles ≥3/4

grey scale for semi-aniline leather or 80 cycles ≥3/4 grey scale for all other leather types).

- Colour fastness to light: ________ (according to EN ISO 105-B02 (method 3). Results must be either: ≥3 blue

scale for nubuck, suede and aniline leather; ≥4 blue scale for semi-aniline leather or ≥5 blue scale for all other leather types).

- Dry finish adhesion: _________________ (according to EN ISO 11644. Not applicable to nubuck, suede and

aniline leather. Results must be ≥2N / 10mm for all other leather types)

- Dry flex resistance: _______________ (according to EN ISO 5402-1. Not applicable to nubuck or suede. Results

for aniline leather with non-pigmented finish must be 20000 cycles with no finish damage cracks or 50000

cycles with no finish damage cracks for all other leather types).

- Colour fastness to water spotting: ______________ (according to EN ISO 15700. Results must be ≥3 grey

scale with no permanent swelling for all leather types).

- Cold crack resistance of finish: ______________ (according to EN ISO 17233. Not applicable to nubuck, suede

and aniline leather. Results must show no finish crack at -15°C).

- Fire resistance: _______________ (according to EN 1021 or other relvant national standards in country where

product is marketed. All leather types must pass).

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Company Name in CAPITALS:

Date:

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Declaration: 6.1 Textile fabrics - Physical quality requirements

to be completed by supplier of TEXTILE FABRIC upholstery covering materials

I the undersigned, hereby declare that the textile fabric upholstery covering material supplied to _____________________ (please insert the name of the applicant) meets the physical

requirements as specified below and I attach copies of relevant test reports.

- Intended use of covering material: _______________________________ (choose from; "removable and

washable" or "non-removable and washable").

- Dimensional changes during washing and drying: ___________________________(Not applicable to non-

removable covering materials. According to ISO 6330 and EN ISO 5077 for domestic washing with 3 washing/drying cycles at specified temperature on product label or according to ISO 15797 and EN ISO 5077 for commercial washing at a minimum of 75°C. Results should be within ±2.0% for woven fabrics, ±3.0% for woven ticking fabrics, ±5.0% for non-woven ticking fabrics or ±6.0% for other non-woven fabrics).

- Colour fastness to washing:_________________ (according to ISO 105-C06 for domestic washing or ISO 15797 and ISO 105-C06, at a minimum of 75°C, for commercial washing. Not applicable to non-removable covering materials. Results must be ≥ level 3-4 for colour change and ≥ level 3-4 for staining).

- Colour fastness to wet rubbing:_________________ (Not applicable to white fabrics or fabrics that are neither dyed nor printed. Tests according to ISO 105 X12: Results must be:≥ level 2-3 for removeable and non-removable covering materials.

- Colour fastness to dry rubbing:_________________ (Not applicable to white fabrics or fabrics that are neither dyed nor printed. Tests according to ISO 105 X12: Results must be:≥ level 4 for removable and non-removable covering materials.

- Colour fastness to light:_________________ (According to ISO 105 B02: Results must be:≥ level 5 for removeable and non-removable covering materials. The requirement can be reduced to :≥ level 4 if the fabric is light coloured (i.e. standard depth < 1/12) and consists of more than 20% wool/other keratin fibres or more than 20% linen/other bast fibres).

- Fabric resistance to pilling:_________________ (According to ISO 12945-1 for knitted and non-woven fabrics or ISO 12945-2 for woven fabrics. Results must be:>3 for both removable and non-removable covering materials).

- Fabric resistance to abrasion (optional): ____________ (According to ISO 12947-2. Good results are indicated by a minimum of 50000 cycles using the Martindale method. Applicable to both removable and non-removable fabrics).

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Company Name in CAPITALS:

Date:

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Declaration: 6.1 Coated fabrics - Physical quality requirements

to be completed by supplier of COATED FABRIC upholstery covering materials

I the undersigned, hereby declare that the coated fabric(s) supplied as an upholstery covering material to _________________________ (please insert the name of the applicant) meets the physical

requirements as specified below and I attach copies of the relevant test reports.

- Tensile strength: _______________________________ (According to ISO 1421. Results must be Warp (CH) ≥ 35daN and Weft (TR) ≥ 20daN).

- Tear resistance of plastic film and sheeting by the trouser tear method: _______________________ (According to ISO 13937/2. Results must be Warp (CH) ≥ 2.5daN and Weft (TR) ≥ 2daN).

- Colour fastness to artificial weathering:_________________ (Xenon arc fading lamp test according to EN ISO 105 B02. Results must be ≥ 6 for indoor use or ≥ 7 for outdoor use).

- Textiles – abrasion resistance:_________________ (Measured by the Martindale method according to ISO 5470/2. Result must be ≥ 75000).

- Coating adhesion: _________________ (According to EN 2411. Results must be Warp (CH) ≥ 1.5daN and Weft

(TR) ≥ 1.5daN)

*daN stands for deca-Newtons

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Date:

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Declaration compilation: 6.2 Upholstery covering materials:

Chemical testing requirements

to be completed by the Applicant

I the undersigned, hereby declare the following upholstery covering materials in the ________________ (insert name of furniture product) comply with the requirements under criterion 6.2 and indicate which evidence is enclosed to demonstrate compliance. Complete additional sheets if necessary.

Upholstery covering

material type / trade

name

Supplier

Evidence submitted

Declaration from

supplier plus test

report*

Test

Report**

EU

Ecolabel

award

Signature of person bearing legal

responsibility

Position held

Company Name in CAPITALS:

Date:

Company Stamp:

* test reports according to material specific requirements of criterion 6.1.

**from tests commissioned by applicant - only necessary when material supplier fails to provide suitable

evidence.

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Declaration: 6.2 Leather - Chemical testing requirements

to be completed by supplier of LEATHER upholstery covering materials

I the undersigned, hereby declare that the leather upholstery covering material supplied to _____________________ (please insert the name of the applicant) meets the requirements for residual chemicals as specified below and I attach copies of relevant test reports.

Chemical Test method Limit (mg/kg) Result(s)

Restricted arylamines*

EN ISO 17234-1 Individual limits for 24 arylamines are ≤ 30 per arylamine

Chromium VI EN ISO 17075 ≤ 3

Free formaldehyde

EN ISO 17226-1 ≤ 20 for children's furniture** ≤ 75 for all other furniture

Extractable heavy metals

EN ISO 17072-1 As(≤1.0); Sb(≤30.0); Cd(≤0.1); Co(≤4.0);

Cr(≤200.0); Cu(≤50.0); Hg(≤0.02); Ni(≤1.0); Pb(≤1.0)

Chlorophenols EN ISO 17070 Pentachlorophenol ≤ 0.1 Tetrachlorophenol ≤ 0.1

Alkylphenols EN ISO 18218-2 (indirect method)

Sum total limit ≤ 100 for 9 alkylphenols and alkylphenolethoxylates and their derivatives (see list in criterion 6.2).

Polycyclic Aromatic

Hydrocarbons

AfPS GS 2014:01 PAK

Individual limits ≤ 1 for 8 PAHs (see list in criterion 6.2)

Sum total limit ≤ 10 for 18 PAHs (see list in criterion 6.2)

Chloralkanes EN ISO 18219 C10-C13 (SCCP): not detectable

C14-C17 (MCCP) ≤ 1000

* Full list is provided in Appendix III of Commission Decision (EU) 2016/1332. Limit of detection for EN ISO 17234-1 is 30mg/kg.

** Furniture designed specifically for babies and children less than 3 years old.

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Company Name in CAPITALS:

Date:

Company Stamp:

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Declaration: 6.2 Textile fabric or coated fabric - Chemical testing

requirements

to be completed by supplier of TEXTILE FABRIC or COATED FABRIC upholstery covering materials

I the undersigned, hereby declare that the leather upholstery covering material supplied to _____________________ (please insert the name of the applicant) meets the requirements for residual chemicals as specified below and I attach copies of relevant test reports.

Chemical Test method Limit (mg/kg) Result(s)

Restricted arylamines*

EN ISO 14362-1 and 14362-3

Individual limits for 24 arylamines of ≤ 30 per arylamine

Free formaldehyde EN ISO 14184-1 ≤ 20 for children's furniture** ≤ 75 for all other furniture

Extractable heavy metals

EN ISO 105 E04 As(≤1.0); Sb(≤30.0)***; Cd(≤0.1);

Co(≤4.0); Cr(≤2.0); Cu(≤50.0); Hg(≤0.02); Ni(≤1.0); Pb(≤1.0)

Alkylphenols

EN ISO 18254 (for APEOs)

Solvent extraction plus LC-MS or GC-MS for APs

Sum total limit ≤ 25 for 9 alkylphenols (APs) and

alkylphenolethoxylates (APEOs) and their derivatives (see list in criterion

6.2).

Polycyclic Aromatic Hydrocarbons

AfPS GS 2014:01 PAK

Individual limits ≤ 1 for 8 PAHs (see list in criterion 6.2)

Sum total limit ≤ 10 for 18 PAHs (see list in criterion 6.2)

N,N-Dimethylacetamide (CAS No. 127-19-5)

Solvent extraction followed by LC-MS or GC-MS

≤ 50

* Full list is provided in Appendix III of Commission Decision (EU) 2016/1332. Limit of detection for EN ISO 17234-1 is 30mg/kg.

** Furniture designed specifically for babies and children less than 3 years old.

*** If the tested textiles have been treated with ATO as a synergist, in accordance with the derogation conditions for ATO use in entry (c) of Table 2 in criterion 2, then it shall be exempted from compliance with the leaching limit for antimony.

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Declaration compilation: 6.3 Upholstery covering materials:

Restrictions during production processes

to be completed by the Applicant

*Only app l icable i f uphols te ry cover ing mater ia l s account for more than 1 .0% w/w of thetota l fu rn i tu re p roduct weight (exc lud ing packag ing)

I the undersigned, hereby declare the following upholstery covering materials in the ________________ (insert name of furniture product) comply with the requirements under criterion 6.3 and indicate which evidence is enclosed to demonstrate compliance. Complete additional sheets if necessary.

Upholstery covering

material type / trade

name

Supplier

Evidence submitted

Supplier

declaration(s) SDS

Test

Report

EU

Ecolabel

award

Signature of person bearing legal

responsibility

Position held

Company Name in CAPITALS:

Date:

Company Stamp:

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Declaration: 6.3 Upholstery covering materials: Restrictions during

production processes

to be completed by the Supplier or Manufacturer of upholstery covering (s)

If any textile fabrics have been awarded the EU Ecolabel, providing a copy of the EU Ecolabel

certificate shall be considered sufficient proof of compliance with this criterion.

I the undersigned, the manufacturer of the leather / textile fabric / coated fabric (delete as appropriate)

upholstery coverings supplied to ___________________________ (please insert the name of the

applicant), hereby declare that the materials supplied comply with the relevant production process

requirements stated below:

Requirement Statement from supplier/manufacturer (please state if criterion is relevant and if any

supporting documentation is provided)

1a) All non-ionic and cationic detergents and surfactants used in dyeing and finishing stages are ultimately biodegradable under anaerobic conditions.

(declaration from chemical supplier and SDS required)

1b) None of the following substances have been used during dyeing and finishing operations:

DTDMAC, DSDMAC, DHTDMAC, EDTA, DTPA, 4-(1,1,3,3-tetramethylbutyl)phenol, NTA.

(SDS of the formulations used required to be cross-checked)

1c) None of the following solvents have been used in any mixtures or formulations:

2-Methoxyethanol; N,N-dimethylformamide; 1-Methyl-2-pyrrolidone; Bis(2-methoxyethyl) ether; 4,4’- Diaminodiphenylmethane; 1,2,3-trichloropropane; 1,2-Dichloroethane (ethylene dichloride); 2-Ethoxyethanol; Benzene-1,4-diamine dihydrochloride; Bis(2-methoxyethyl) ether; Formamide; N-methyl-2-pyrrolidone; Trichloroethylene

(SDS of formulations used required to be cross-checked)

2(i) If any disperse dyes have been used in dyeing and

printing processes, they were not used with halogenated dyeing accelerants (carriers)

(SDS of formulations used required to be cross-checked)

2(ii) No chrome mordant dyes have been used during dyeing and printing processes

(SDS of dyes used required to be cross-checked)

2(iii) No pigments based on cadmium, lead, chromium VI, mercury, arsenic or antimony have been used during dyeing and printing processes.

(If relevant, SDS of pigments used required to be cross-checked)

3(i) No fluorinated (including per- and poly-fluorinated) substances have been used to provide a water or stain repellent function and any alternative non-fluorinated substances used for this purpose demonstrate inherent ultimate or ready biodegradability and a low potential to bioaccumulate (log Kow of < 3.2 and BCF < 100).

(If relevant, SDS of water/dirt/stain repellents used required to be cross-checked as well as test results of biodegradability and potential to bioaccumulate)

Section 4 is only relevant to the leather production process

4(i) Final effluent COD conc. is < 200mg/L (test report(s) to support declaration)

4(ii) Final effluent total chromium conc. is < 1.0mg/L (test report(s) to support declaration)

4(iii) Annual average water consumption meets one of the following relevant limits: 28m3/t of processed hides; 45m3/t of processed skins; 35m3/t vegetable tanned leather or 80m3/t of processed pig skin; 180 L/ processed sheep skin.

(Declaration with optional company reporting information)

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Declaration: 6.3 Upholstery covering materials: Restrictions during

production processes

to be completed by the Supplier or Manufacturer of upholstery covering (s)

Signature of person bearing legal responsibility

Position held

Company Name in CAPITALS:

Date:

Company Stamp:

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Declaration: 6.4 Cotton and other natural cellulosic seed fibres

to be completed by the textile fabric Supplier/ Manufacturer

I the undersigned, hereby declare that the cotton-based textile fabrics supplied to _________________ (please insert the name of the applicant) meet the requirements of criterion 6.4 according to compliance route ___ described below and attach the appropriate supporting evidence.

Route Compliance route Supporting evidence attached

1 Textile fabric carries the EU

Ecolabel Declaration plus a copy of the certificate awarded under

Commission Decision 2014/350/EU

2 Cotton content in textile

fabric consists of at least 70% recycled cotton

Declaration of the minimum recycled content, supported by delivery invoices and chain of custody certificates tracing the

material back to reprocessing centres

3

Cotton content in textile fabric, excluding any recycled

cotton, is at least 10% organic certified

Declaration of the minimum organic cotton content, supported by transaction records and/or invoices of organic

cotton deliveries on an annual and production line basis.

Evidence of screening tests for common genetic modifications in any remaining non-organic cotton content.

4

Cotton content in textile fabric, excluding any recycled cotton, is at least 20% IPM

certified

Declaration of the minimum IPM cotton content, supported by evidence of supplying farm(s) participation in formal IPM and ICM programmes and/or are audited under third party

certified IPM schemes.

Claims should be presented on an annual basis for country of origin or on purchase records.

A further declaration(s) should be provided from the supplying farm(s) that none of the pesticides listed in

criterion 6.4(b) have been used during the cultivation of IPM cotton.

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Position held

Company Name in CAPITALS:

Date:

Company Stamp:

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Declaration: 7.1 a) Latex foam: Restricted substances

to be completed by the Applicant / latex foam supplier or manufacturer

I the undersigned, the manufacturer of latex foam / intermediate supplier of latex foam / applicant (please delete as appropriate) hereby declare that the material supplied complies with the

relevant chemical residue restrictions stated below and attach copies of relevant test reports.

Group of

substances

Substance Limit

(ppm)

Test Method Result

(ppm)

Chlorophenols

mono- and di-chlorinated phenols (salts and esters)

1 5 g of sample shall be milled and chlorophenols extracted in the form of phenol (PCP), sodium salt (SPP) or esters. The extracts analysed by means of gas chromatography (GC). Detection shall be made with mass spectrometer or electron capture detector (ECD).

Other chlorophenols 0.1

Heavy metal

As (Arsenic) 0.5 Milled sample material is eluted in accordance with DIN 38414-S4 or equivalent in a ratio of 1:10. The resultant filtrate shall be passed through a 0.45 μm membrane filter (if necessary by pressure filtration). The solution obtained shall be examined for the content of heavy metals by inductively coupled plasma optical emission spectrometry (ICP-OES), also known as inductively coupled plasma atomic emission spectrometry (ICP-AES), or by atomic absorption spectrometry using a hydride or cold vapour process

Cd (Cadmium) 0.1 Co (Cobalt) 0.5 Cr (Chromium), total 1 Cu (Copper) 2 Hg (Mercury) 0.02 Ni (Nickel) 1 Pb (Lead) 0.5

Sb (Antimony) 0.5

Pesticides*

Aldrin 0.04

2 g of sample is extracted in an ultrasonic bath with a hexane/dichloromethane mixture (85/15). The extract is cleaned up by acetonitrile agitation or by adsorption chromatography over florisil. Measurement and quantification are determined by gas chromatography with detection on an electron capture detector or by coupled gas chromatography/mass spectrometry. The testing on pesticides is requested for latex foams with a content of at least 20% natural latex

o,p-DDE 0.04 p,p-DDE 0.04

o,p-DDD 0.04 p,p-DDD 0.04 o,p-DDT 0.04 p,p-DDT 0.04 Diazinone 0.04 Dichlorfenthion 0.04 Dichlorvos 0.04 Dieldrin 0.04 Endrin 0.04 Heptachlor 0.04 Heptachlorepoxide 0.04 Hexachlorobenzene 0.04 Hexachlorocyclohexane 0.04 α-Hexachlorocyclohexane 0.04 β-Hexachlorcyclohexane 0.04 γ-Hexachlorocyclohexane (Lindane) 0.04 δ-Hexachlorocyclohexane 0.04 Malathion 0.04 Methoxichlor 0.04 Mirex 0.04 Parathion-ethyl 0.04 Parathion-methyl 0.04

Other specific substances that are restricted

Butadiene 1

Following milling and weighing of the latex foam, headspace sampling shall be performed. Butadiene content shall be determined by gas chromatography with detection by flame ionisation.

* Only for foams composed of natural latex for at least 20% by weight.

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Declaration: 7.1 a) Latex foam: Restricted substances

to be completed by the Applicant / latex foam supplier or manufacturer

Signature of person bearing

legal responsibility

Position held

Company Name in CAPITALS:

Date:

Company Stamp:

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Declaration: 7.1.b) Latex foam: 24h VOC emissions

to be completed by the Applicant / latex foam supplier or manufacturer

I the undersigned, the manufacturer of latex foam / intermediate supplier of latex foam / applicant (please delete as appropriate) hereby declare that the material supplied complies with the

relevant chemical residue restrictions stated below and attach copies of relevant test reports.

Substance Limit

(mg/m³) Test Methods

Result

(mg/m³) 1,1,1 – trichloroethane 0.2 Chamber test analysis carried out by an accredited laboratory in

accordance with ISO 16000-9. The wrapped sample shall be stored at room temperature at least for 24 hours. After this period the sample shall be unwrapped and immediately transferred into the test chamber. The sample shall be placed on a sample holder, which allows air access from all sides. The climatic factors shall be adjusted according to ISO 16000-9. For comparison of test results, the area specific ventilation rate (q=n/l) shall be 1. The ventilation rate shall be between 0.5 and 1. The air sampling shall be done 24±1 h after loading of the chamber during 1 hour on DNPH cartridges for the analysis of formaldehyde and other aldehydes and on Tenax TA for the analysis of other volatile organic compounds. Sampling duration for other compounds may be longer but shall be completed before 30 hours. The analysis of formaldehyde and other aldehydes shall comply with the standard ISO 16000-3. Unless specified differently, the analysis of other volatile organic compounds shall comply with the standard ISO 16000-6. Testing following the standard CEN/TS 16516 shall be considered as equivalent to those of the ISO 16000 series of standards. The analysis of nitrosamines shall be done by means of gas chromatography in combination with a thermal energy analysis detector (GC-TEA), in accordance with the BGI 505-23 method (formerly: ZH 1/120.23) or equivalent.

4-Phenylcyclohexene 0.02

Carbon Disulphide 0.02

Formaldehyde 0.005

Nitrosamines* 0.0005

Styrene 0.01

Tetrachloroethylene 0.15

Toluene 0.1

Trichlorethylene 0.05

Vinyl chloride 0.0001

Vinyl cyclohexene 0.002

Aromatic hydrocarbons (total)

0.3

VOCs (total) 0.5

* N-nitrosodimethylamine (NDMA), N-nitrosodiethylamine (NDEA), N-nitrosomethylethylamine (NMEA),

N-nitrosodi-i-propylamine (NDIPA), N-nitrosodi-n- propylamine (NDPA), N-nitrosodi-n-butylamine (NDBA), N-nitrosopyrrolidinone (NPYR), N-nitrosopiperidine (NPIP), N-nitrosomorpholine (NMOR).

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Date:

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Declaration: 7.2 a) Polyurethane (PUR) foam: Restricted substances

and mixtures

to be completed by the PUR foam Manufacturer/Applicant, as appropriate

I the undersigned, declare the following statements and results below are accurate and comply with the requirements of criterion 7.2(a) of Commission Decision (EU) 2016/1332/EU for EU Ecolabel furniture substances/mixtures have not been intentionally added to the polyurethane foam supplied to ________________ (please insert the name of the applicant):

That no biocidal products have been intentionally used.

That no flame retardants have been intentionally used (unless in accordance with the conditions

laid out in entries b) and c) of the derogation table in criterion 2.2 of Commission Decision (EU)

2016/1332).

That no phthalate plasticisers listed on the ECHA candidate list have been intentionally used.

That none of the following substances have been intentionally added: Chlorinated or brominated

dioxins or furans; Chlorinated hydrocarbons: (1,1,2,2-Tetrachloroethane, Pentachloroethane, 1,1,2-

Trichloroethane, 1,1-Dichloroethylene); Chlorinated phenols (PCP, TeCP, 87-86-5);

Hexachlorocyclohexane (58-89-9); Monomethyldibromo–Diphenylmethane (99688-47-8);

Monomethyldichloro-Diphenylmethane (81161-70-8); Nitrites; Polybrominated Biphenyls (PBB,

59536-65-1); Pentabromodiphenyl Ether (PeBDE, 32534-81-9); Octabromodiphenyl Ether (OBDE,

32536-52-0); Polychlorinated Biphenyls (PCB, 1336-36-3); Polychlorinated Terphenyls (PCT,

61788-33-8); Tris(2,3-dibromopropyl) phosphate (TRIS, 126-72-7); Trimethylphosphate (512-56-

1); Tris-(aziridinyl)-phosphinoxide (TEPA, 545-55-1); Tris(2-chloroethyl)-phosphate (TCEP, 115-96-

8); Dimethyl methylphosphonate (DMMP, 756-79-6).

I also confirm that the analytical test results for the following compounds in the PUR foam are as follows and use the methodology described. I also attach copies of the test reports.

Substance

group

Substance (acronym,

CAS number) Limit value Test Method

Test

Result

Heavy Metals As (Arsenic) 0.2 ppm Milled sample material is eluted in accordance with DIN 38414-S4 or equivalent in a ratio of 1:10. The resultant filtrate shall be passed through a 0.45 μm membrane filter (if necessary by pressure filtration). The solution obtained shall be examined for the content of heavy metals by atomic emission spectrometry with inductively coupled plasma (ICP-AES or ICP-OES) or by atomic absorption spectrometry using a hydride or cold vapour process

Cd (Cadmium) 0.1 ppm Co (Cobalt) 0.5 ppm

Cr (Chromium), total 1.0 ppm Cr VI (Chromium VI) 0.01 ppm

Cu (Copper) 2.0 ppm Hg (Mercury) 0.02 ppm

Ni (Nickel) 1.0 ppm Pb (Lead) 0.2 ppm

Sb (Antimony) 0.5 ppm Se (Selenium) 0.5 ppm

Plasticizers Dibutylphthalate (DBP, 84-74-2)*

0.01% w/w (sum of all 6 phthalates in furniture for children <3 years old)

*0.01% w/w(sum of 4

phthalates in all other furniture products)

Extraction shall be performed using a validated method such as the subsonic extraction of 0.3 g of sample in a vial with 9 ml of t-Butylmethylether during 1 hour followed by the determination of phthalates by GC using a single ion monitoring mass selective detector (SIM Modus).

Di-n-octylphthalate (DNOP, 117-84-0)*

Di (2-ethylhexyl)-phthalate (DEHP, 117-81-7)*

Butylbenzylphthalate (BBP, 85-68-7)*

Di-iso-decylphthalate (DIDP, 26761-40-0)

Di-iso-nonylphthalate (DINP, 28553-12-0)

TDA and MDA 2,4 Toluenediamine (2,4-TDA, 95-80-7)

5.0 ppm Extraction of a 0.5 g composite sample in a 5ml syringe shall be performed with 2.5 ml of

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Declaration: 7.2 a) Polyurethane (PUR) foam: Restricted substances

and mixtures

to be completed by the PUR foam Manufacturer/Applicant, as appropriate

4,4'-Diaminodiphenylmethane

(4,4'-MDA, 101-77-9) 5.0 ppm

1% aqueous acetic acid solution. The syringe is squeezed and the liquid returned to the syringe. After repeating this operation 20 times, the final extract is kept for analysis. A new 2.5ml of 1% aqueous acetic acid is then added to the syringe and another 20 cycles repeated. After this, the extract is combined with the first extract and diluted to 10 ml in a volumetric flask with acetic acid. The extracts shall be analysed by high-performance liquid chromatography (HPLC-UV) or HPLC-MS. If HPLC-UV is performed and interference is suspected, reanalysis with high performance liquid chromatography–mass spectrometry (HPLC-MS) shall be performed

Tinorganic substances

Tributyltin (TBT) 50 ppb A composite sample of 1-2 g weight shall be mixed with at least 30ml of extracting agent during 1 hour in an ultrasonic bath at room temperature. The extracting agent shall be a mixture composed as follows: 1750 ml methanol + 300 ml acetic acid + 250 ml buffer (pH 4.5). The buffer shall be a solution of 164 g of sodium acetate in 1200 ml of water and 165 ml acetic acid, to be diluted with water to a volume of 2000 ml. After extraction the alkyl tin species shall be derivatized by adding 100 µl of sodium tetraethylborate in tetrahydrofuran (THF) (200 mg/ml THF). The derivative shall be extracted with n-hexane and the sample shall be submitted to a second extraction procedure. Both hexane extracts shall be combined and further used to determine the organotin compounds by gas chromatography with mass selective detection in SIM modus

Dibutyltin (DBT) 100 ppb Monobutyltin (MBT) 100 ppb Tetrabutyltin (TeBT) - Monooctyltin (MOT) -

Dioctyltin (DOT) - Tricyclohexyltin (TcyT) -

Triphenyltin (TPhT) -

Sum 500 ppb

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Declaration: 7.2 b) Polyurethane foam: 72h VOC emissions

to be completed by the PUR foam Manufacturer/Applicant, as appropriate

I the undersigned, declare the following statements and results below are accurate and comply with the requirements of criterion 7.2(b) of Commission Decision (EU) 2016/1332 for EU Ecolabel furniture substances/mixtures have not been intentionally added to the polyurethane foam supplied to ________________ (please insert the name of the applicant):

Substance (CAS number) Limit

(mg/m³) Test Method

Result

(mg/m³)

Formaldehyde (50-00-0) 0.005 The test sample/chamber combination shall be either: 1 sample of 25x20x15 cm dimensions is placed in a 0.5 m3 test chamber or 2 samples of 25x20x15 cm dimensions are placed in a 1.0 m3 test chamber. The foam sample shall be placed on the bottom of an emission test chamber and conditioned for 3 days at 23 °C and 50% relative humidity, applying an air exchange rate n of 0.5 per hour and a chamber loading L of 0.4 m²/m³ (= total exposed surface of sample in relation to chamber dimensions without sealing edges and back) in accordance with ISO 16000-9 and ISO 16000-11. Sampling shall be done 72 ± 2 h after loading of the chamber during 1 hour via Tenax TA and DNPH cartridges for VOC and formaldehyde analysis respectively. The emissions of VOC are being trapped on Tenax TA sorbent tubes and subsequently analysed by means of thermo-desorption-GC-MS in accordance to ISO 16000-6. Results are semi-quantitatively expressed as toluene equivalents. All specified individual components are reported from a concentration limit ≥ 1 μg/m³. Total VOC value is the sum of all components with a concentration ≥ 1 μg/m³ and eluting within the retention time window from n-hexane (C6) to n-hexadecane (C16), both included. The sum of all detectable compounds classified as categories C1A or C1B according to Reg (EC) No 1272/2008 is the sum of all these substances with a concentration ≥ 1 μg/m³. In case the test results exceed the standard limits, substance specific quantification needs to be performed. Formaldehyde can be determined by collection of the sampled air onto DNPH cartridge and subsequent analysis by HPLC/UV in accordance to ISO 16000-3. Testing following the standard CEN/TS 16516 shall be considered as equivalent to those of the ISO 16000 series of standards.

Toluene (108-88-3) 0.1

Styrene (100-42-5) 0.005

Each detectable compound classified as categories C1A or C1B according

to the Regulation (EC) No 1272/2008 0.005

Sum of all detectable compound classified as categories C1A or C1B

according to Regulation (EC) No 1272/2008

0.04

Aromatic hydrocarbons 0.5

VOCs (total) 0.5

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Declaration: 7.2(c) Blowing agents

to be completed by the PUR foam supplier

I the undersigned, hereby declare that no halogenated blowing agents (which explicitly include any CFCs, HCFCs and HFCs) have been used in the manufacture of the ___________ (insert product

name) PUR foam product supplied to ___________ (insert name of applicant).

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Date:

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Declaration: 7.3 Other padding materials

to be completed by the Applicant

Only appl i cab le i f the padd ing mater ia l i s not la tex foam or PUR foam

I the undersigned, hereby declare that any "other" padding materials used (i.e. not latex foam and not PUR foam) in the ______________(please insert product name for product(s)) comply with the conditions below and attach copies of any relevant supporting declarations from suppliers:

the material does not contain any Substances of Very High Concern appearing on the ECHACandidate List in concentrations greater than 0.1% (weight by weight).

no biocidal products, flame retardants or plasticisers have been intentionally applied to thepadding material that are classified as carcinogenic, mutagenic, toxic to reproduction (categories 1or 2), toxic in aquatic environments (categories 1-4), acutely toxic (categories 1-3), specific targetorgan toxicity (categories 1 or 2), toxic by inhalation (category 1) or skin sensitising (category 1).*

no down or animal feathers have been used in the filling/padding material.

any coconut fibres rubberised using latex comply with criterion 7.1(a) and 7.1(b) set out inCommission Decision (EU )2016/1332.

*some exceptions to this requirement may apply as described in entries a), b) and c) of Table 2 of criterion 2.2 of Commission

Decision(EU) 2016/1332.

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Declaration: Criterion 8 – Glass – use of heavy metals

to be completed by the Applicant

Th is c r i ter ion appl ies to any g lass -mater ia l inc luded in the f ina l fu rn i tu re p roduct regardless of the we ight f rac t ion i t p resents

I the undersigned, hereby declare that:

no leaded glass is present in the final furniture product.

does not contain lead, mercury or cadmium impurities at levels exceeding 100 mg/kg (0,01% w/w).

all paint and varnish formulations used on any mirror backing contains less than 2000 mg/kg lead(0.2% w/w).*

*please provide the relevant SDS and declarations for the glass supplier to support this declaration.

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Declaration: Criterion 8 – Glass – use of heavy metals

to be completed by the Supplier of the glass / mirror glass

Th is c r i ter ion appl ies to any g lass -mater ia l inc luded in the f ina l fu rn i tu re p roduct regardless of the we ight f rac t ion i t p resents .

As the supplier of glass/mirror glass to _________________________________ (please insert the

name of the applicant) I the undersigned, hereby declare that the glass is not leaded and does not contain lead, mercury or cadmium impurities >100mg/kg.

In case of mirror glass, I declare that backing has been applied using the "tin process" and not the "copper process" and does not use any coating formulations with lead contents exceeding 2000mg/kg. I attach any relevant SDS of the coating formulations used to support this declaration..

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Declaration: 9.1 Final product requirements: Fitness for use

to be completed by the Applicant

I the undersigned, hereby declare that the furniture is fit for use. Of the EN standards listed below, please find which (if any) have been identified as relevant to the product and which (if any) have been tested and found to meet fitness for use requirements specified in the standard(s). Where testing has taken place, I also attach copies of any relevant test reports. (see Appendix IV of the Criteria Decision)

Standard from Appendix IV of Commission Decision (EU)

2016/1332 RelevantYes / No

Tested Results

attached

EN 1021-1 (Upholstered furniture)

EN 1021-2 (Upholstered furniture)

EN 527-1 (Office furniture: work tables and desks)

EN 527-2 (Office furniture: work tables and desks)

EN 1023-2 (Office furniture – screens)

EN 1335-1 (Office furniture – work chair)

EN 1335-2 (Office furniture – work chair)

EN 14073-2 (Office furniture – storage furniture)

EN 14074 (Office furniture – tables, desks and storage furniture)

EN 581-1 (Outdoor furniture – seating and tables)

EN 581-2 (Outdoor furniture – seating and tables)

EN 581-3 (Outdoor furniture – seating and tables)

EN 1022 (Domestic seating)

EN 12520 (Domestic seating)

EN 12727 (Ranked seating)

EN 13759 (Seating and sofa beds)

EN 14703 (non-domestic seating linked together in a row)

EN 16139 (non-domestic seating)

EN 12521 (Domestic tables)

EN 15372 (Non-domestic tables)

EN 1116 (Kitchen furniture)

EN 14749 (Kitchen storage units and worktops)

EN 597-1 (Beds)

EN 597-2 (Mattresses and upholstered bed bases)

EN 716-1 (Children's cots and folding cots for domestic use)

EN 747-1 (Bunk beds and high beds)

EN 1725 (Domestic beds and mattresses)

EN 1957 (Beds and mattresses)

EN 12227 (Playpens for domestic use)

EN 16121 (Non-domestic storage furniture)

EN 1729-1 (Chairs and tables for educational institutions)

EN 1729-2 (Chairs and tables for educational institutions)

EN 13150 (Workbenches for laboratories)

EN 14434 (Writing boards for educational institutions)

Other EN standards (optional, please specify)

Other EN standards (optional, please specify)

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Declaration: 9.1 Final product requirements: Fitness for use

to be completed by the Applicant

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Declaration: 9.2 Extended product guarantee

to be completed by the Applicant

I the undersigned, hereby declare that the following product(s) __________________________________________________________________________________________________________________________________________________________________________

(insert name of licensed product(s)) are covered by a minimum __ (insert number of years, at least 5)

year guarantee and attach a copy of the relevant legal text to be included in consumer information.

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Declaration: 9.3 Provision of spare parts

to be completed by the Applicant

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Declaration: 9.3 Provision of spare parts

to be completed by the Applicant

I the undersigned, hereby declare that spare parts for the furniture product will be available for a period of at least 5 years from the date of purchase of the product. The parts shall be available without charge during the guarantee period if the goods are found to be faulty during normal use or at a proportionate cost if the goods were damaged by misuse.

I attach a copy of the legal text to be provided to consumers.

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Declaration: 9.4 Design for disassembly

to be completed by the Applicant

I the undersigned, hereby declare that the furniture product can be assembled and disassembled using basic tools and unskilled labour. I attached technical drawings that clearly illustrate the assembly and disassembly operations and the associated component parts and tools required.

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Declaration: 9.5 VOC emissions

to be completed by the Applicant or component part/material suppliers

A p p l i c a b l e f o r f u r n i t u r e w i t h l e a t h e r o r c o a t e d f a b r i c u p h o l s t e r y o r > 5 % b y w e i g h t o f c o m p o n e n t s ( e x c l u d i n g p a c k a g i n g ) t h a t d o n o t c o m p l y w i t h c r i t e r i o n 3 . 2 ( c ) o r c r i t e r i o n 5 . 3 f o r w o o d - b a s e d o r m e t a l b a s e d c o m p o n e n t s r e s p e c t i v e l y .

I the undersigned, hereby declare that the following furniture product / component part/material ____________________________________(please delete as appropriate and insert name of

product/part/material tested) complies with criterion 9.5 according to reasons A, B or C below

(please indicate which and delete the other parts):

A: VOC testing is not required because no leather or coated fabric upholstery is used and that any coated wooden or metal components comply with criterion 3.2(c) or criterion 5.3 respectively.

B: The assembled furniture product has been tested for VOC emissions, in accordance with ISO 16000 or equivalent methodology and relevant test parameters defined below.

Results for testing of entire furniture product:

Test Parameter Armchairs and sofas Office chairs Other

Chamber volume In the range of 2-10 m3

Loading rate Product should occupy approx. 25% of chamber volume *0.5-1.5 m2/m3

Ventilation rate 4.0 m3/h 2.0 m3/h *0.5-1.5 h-1

Substance / test time 3d 28d 3d 28d 28d

Formaldehyde Limit n/a 60 µg/m3 n/a 60 µg/m3 60 µg/m3

Result

TVOC Limit ≤ 3000 µg/m3 ≤ 400 µg/m3 n/a ≤ 450 µg/m3 ≤ 450 µg/m3

Result

TSVOC Limit n/a ≤ 100 µg/m3 n/a ≤ 80 µg/m3 ≤ 80 µg/m3

Result

C-substances** Limit

≤ 10 µg/m3

(sum total) ≤ 1 µg/m3 (per

substance) ≤ 10 µg/m3

(sum total) ≤ 1 µg/m3 (per

substance) ≤ 1 µg/m3 (per

substance)

Result

R-value*** Limit n/a ≤ 1 n/a ≤ 1 ≤ 1

Result

* Although there is scope to vary the loading rate and ventilation rate for other furniture items, the ratio betweenthe loading rate (m2/m3) and the ventilation rate (h-1) shall be maintained at 1.0.

** Formaldehyde is excluded from consideration within cumulative carcinogenic VOC emission calculations and instead has its own individual limit.

*** R value = total of all quotients (Ci / LCIi) < 1 (where Ci = substance concentration in the chamber air, LCIi = LCI value of the substance as defined by the latest data defined under the European Collaborative Action "Urban air, indoor environment and human exposure".

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C: Representative samples of leather upholstery, coated fabric upholstery and/or coated wooden and/or metal components used in the furniture product have been tested for VOC emissions, in accordance with ISO 16000 or equivalent methodology and relevant test parameters defined below.

Results for testing of relevant component parts/materials:

Test Parameter Coated components Leather or coated fabric upholstery

Chamber volume ≥200 L for wood-based components,

≥ 20L for other components ≥ 20 L

Ventilation rate 0.5 h-1 1.5 m3/m2.h

Substance / test time 3d 28d 3d 28d

Formaldehyde Limit n/a 60 µg/m3 n/a 60 µg/m3

Result

TVOC Limit ≤ 3000 µg/m3 ≤ 400 µg/m3 n/a ≤ 450 µg/m3

Result

TSVOC Limit n/a ≤ 100 µg/m3 n/a ≤ 80 µg/m3

Result

C-substances* Limit

≤ 10 µg/m3 (sum total)

≤ 1 µg/m3 (per substance)

≤ 10 µg/m3 (sum total) ≤ 1 µg/m3 (per

substance)

Result

R-value** Limit n/a ≤ 1 n/a ≤ 1

Result

* Formaldehyde is excluded from consideration within cumulative carcinogenic VOC emission calculations andinstead has its own individual limit.

** R value = total of all quotients (Ci / LCIi) < 1 (where Ci = substance concentration in the chamber air, LCIi = LCI value of the substance as defined by the latest data defined under the European Collaborative Action "Urban air, indoor environment and human exposure".

Signature of person bearing

legal responsibility

Position held

Company Name in CAPITALS:

Date:

Company Stamp:

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Declaration: Criterion 10 – Consumer Information

to be completed by the Applicant

I the undersigned, hereby declare that the consumer information to be provided with the _________________________ (please insert name of product(s)) contains relevant information

pertaining to the following points:

A product description.

Information about the polymer types of any plastic components >100g that were not marked in linewith the requirements of criterion 4.1.

A clear statement regarding the conditions under which the furniture product should be used. Forexample indoors, outdoors, in certain temperature ranges, load bearing capacities and how to correctlyclean the product.

Information regarding the type of glass used, any safety information, its suitability for contact withhard materials such as glass, metal or stone and information regarding the correct disposal of theglass, for example its compatibility or non-compatibility with post-consumer container glass.

A declaration of compliance with relevant fire safety regulations in the country of sale for upholsteredfurniture, which flame retardants have been used (if any) and in what materials (if any).

A declaration of the non-use of biocides in order to provide a final disinfective effect in any furniturethat is clearly marketed for indoor use and with outdoor furniture, a declaration of which biocides havebeen used (if any) and in what materials (if any).

A statement of compliance with any relevant EN standards as referred to in criterion 10.1.

Easily understood assembly and disassembly instructions as per the requirements of criterion 10.2.

Relevant information regarding the terms and conditions of the product guarantee, which shall meetthe minimum requirements laid out by Directive 1999/44/EC and any further requirements accordingto national legislation in the country of sale

Relevant contact information regarding provision of spare parts as per the requirements of criterion10.2.

Signature of person bearing legal

responsibility

Position held

Company Name in CAPITALS:

Date:

Company Stamp:

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EU ECOLABEL FURNITURE USER MANUAL

Version 2.0 Page 51 of 51

Declaration: Criterion 11 – Information appearing on the EU Ecolabel

to be completed by the Applicant

I the undersigned, hereby declare that the statements to appear with the EU Ecolabel for the _________________________ (please insert name of product(s)) shall be as follows:

1: ___________________________________________________________________________________

2. ___________________________________________________________________________________

3. ___________________________________________________________________________________

Respecting the list of permitted comments provided in criterion 11 of Commission Decision (EU) 2016/1332.

Signature of person bearing legal

responsibility

Position held

Company Name in CAPITALS:

Date:

Company Stamp:

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